Provider Demographics
NPI:1427479567
Name:SHIU, KAREN
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:SHIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 ACKERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:AIRMONT
Mailing Address - State:NY
Mailing Address - Zip Code:10901-7125
Mailing Address - Country:US
Mailing Address - Phone:845-641-2094
Mailing Address - Fax:
Practice Address - Street 1:560 KENSICO CT
Practice Address - Street 2:
Practice Address - City:SUFFERN
Practice Address - State:NY
Practice Address - Zip Code:10901-4159
Practice Address - Country:US
Practice Address - Phone:845-641-2094
Practice Address - Fax:646-357-3313
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-16
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX012445-1111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor